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[Electrocautery snare efficacy in head and neck lesion treatment].

Authors
  • Saito, Koichiro1
  • Inagaki, Koji
  • Naganishi, Hideki
  • Takaoka, Takuji
  • Isogai, Yutaka
  • Ogawa, Kaoru
  • 1 Department of Otolaryngology-Head and Neck Surgery, Keio University School of Medicine, Tokyo.
Type
Published Article
Journal
Nihon Jibiinkoka Gakkai kaiho
Publication Date
Nov 01, 2009
Volume
112
Issue
11
Pages
739–746
Identifiers
PMID: 19999151
Source
Medline
License
Unknown

Abstract

The electrocautery snare has been widely used in gastroenterology and to remove bronchial and urinary bladder lesions, but rarely in head and lesion electrocautery. Since October 2006, we have used this instrument to treat 17 head and neck granuloma, papilloma, cyst, and cancer lesions under local or general anesthesia. Lesions were localized in the larynx, oropharynx, hypopharynx, or tracheostoma. The snare was used through a rhinolaryngovideoscope in most cases with a current of 15-30 watts produced by an electrosurgical generator. All procedures were easy, quick and successful, with minimal bleeding. No severe adverse effects were seen in any of our cases. The electrocautery snare was extremely useful in treating pedunculated lesions and in removing epiglottic cysts with a clear margin after excision of the mass without bleeding. Our results indicate the electrocautery snare to be useful and safe in treating selected head and neck lesion cases.

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